Find out how Bradford Teaching Hospitals transformed their rheumatology service, reducing inappropriate calls by 44% and saving 72 nurse hours in just 2 months.
Customer story
How a digital patient portal helped Bradford Teaching Hospitals cut nurse callbacks by 30%

Here's the TL;DR
Bradford Teaching Hospitals (BTH) Rheumatology Department were facing high volumes of non-clinical or misdirected calls that delayed care, with each call averaging 9 minutes and 34% deemed “inappropriate”.
DrDoctor entered to design a hybrid solution that redirected non-clinical queries, empowered patient self-management, and streamlined access to specialist advice without removing traditional methods of communication to ensure accessibility and inclusivity.
BTH rheumatology saw a 30% reduction in call-back time, 72 hours of nurse time saved in 2 months and an incredible 44% of queries resolved without nurse input, freeing them up to focus on patient care.
Let’s set the scene
BTH has six sites and serves a diverse but socioeconomically challenged population. The area is ranked among England’s most income and employment deprived, bringing with it significant challenges for and pressures on the Trust. BTH was facing huge demand for services, especially in chronic care like rheumatology.
Patients served annually
Employed across six sites
Patients being provided specialist services
So, what's the deal?
Their existing Nurse Advice Line struggled with severe inefficiencies due to a large volume of lengthy, time-consuming calls that were generally not appropriate for the line, leading to overextended staff and long wait times for patients that desperately needed care.
During an internal audit, it was discovered that a staggering 34% of calls to the Rheumatology Nurse Advice Line were “inappropriate”, meaning they were not calls for clinical advice and support. Instead, the enquiries would range from administrative questions to bookings for tests.
These calls averaged 9 minutes long – nearly the same length as clinically urgent ones – straining the staff and delaying them in caring for patients who were experiencing flare-ups or needed medical advice. The team needed a way to streamline access – and they needed it fast – to reduce the burden on nurses and get patients seen, sooner.
And here's what we did
We joined forces with Bradford’s transformation and clinical rheumatology teams to completely transform their telephone-based operating system into a new digital solution that could provide information for patients.
This would help them manage their conditions, while also providing an alternative digital way of accessing the advice line and giving them some peace of mind. This took the form of both streamlining phone services and creating a portal to cater for a diverse audience with differing needs – be it digital or traditional.

for patients
So that now...
The success of the pathway has led to the rheumatology team creating additional innovations to improve patient care, such as digital consultations through digital templates.
They promote the tools to other teams, including allied health professionals, improving consistency of patient care and helping to reduce the waiting lists.
- Self-managed care
Patients can self-direct to the correct department and access tools that often resolve their queries, allowing nurses to focus on complex or urgent cases. - Inclusivity for all
Crucially, this new service remains inclusive – ensuring all patients benefit, regardless of their digital literacy and communications preferences. - Easier path to care
The digital portal collects detailed information upfront, making phone consultations more efficient and accessible, even for patients with language barriers.
The impact
The results?
A smoother patient experience, smarter use of resources, and more time back in the hands of BTH's busy rheumatology teams.

Looking forward
What’s next for BTH?
The Trust has widely implemented the DrDoctor Patient Portal, so that patients won’t miss important communications, while reducing the 1.5 million letters sent every year that cost £800,000.
DrDoctor Forms & Assessments also gives patients access to forms from their home, resulting in higher quality of patient information. These systems working together throughout the Trust creates a single, smooth digital pathway and enables proper use of Nurse Advice Line and was it originally was intended for.
Beyond that…
Together with Bradford, we won Best Contribution to Improving the Efficiency of NHS Services at the HSJ Partnerships Awards 2025 for this project, further solidifying the success and innovation of what was – and is still being – achieved with the Trust.

